Acute Myopericarditis with Pericardial Effusion and Cardiac Tamponade in a Patient with COVID-19. (Record no. 5328)

MARC details
000 -LEADER
fixed length control field 04154nam a22006857a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200826s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1941-5923
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.12659/AJCR.925554 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 925554 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 32606285
245 ## - TITLE STATEMENT
Title Acute Myopericarditis with Pericardial Effusion and Cardiac Tamponade in a Patient with COVID-19.
251 ## - Source
Source The American Journal of Case Reports. 21:e925554, 2020 Jul 01.
252 ## - Abbreviated Source
Abbreviated source Am J Case Rep. 21:e925554, 2020 Jul 01.
252 ## - Abbreviated Source
Former abbreviated source Am J Case Rep. 21:e925554, 2020 Jul 01.
253 ## - Journal Name
Journal name The American journal of case reports
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
266 ## - Date added to catalog
Date added to catalog 2020-08-26
268 ## - Previous citation
-- The American Journal of Case Reports. 21:e925554, 2020 Jul 01.
269 ## - Original dates
Original fiscal year FY2021
520 ## - SUMMARY, ETC.
Abstract BACKGROUND Coronavirus disease 2019 (COVID-19) is primarily a respiratory illness. However, with rising numbers of cases, multiple reports of cardiovascular manifestations have emerged. We present a case of COVID-19 infection complicated by myopericarditis and tamponade requiring drainage. CASE REPORT An 82-year-old woman with multiple comorbidities presented with five days of productive cough, fever with chills, and intermittent diarrhea. She tested positive for COVID-19. Index EKG revealed new diffuse T-wave inversions and a prolonged QT interval (>500 ms). Troponin was mildly elevated without any anginal symptoms. Hydroxychloroquine and azithromycin were not initiated due to concerns about QT prolongation. The echocardiogram revealed preserved left ventricular (LV) function, a small global pericardial effusion, and apical hypokinesis. Serial echocardiograms revealed an enlarging circumferential pericardial effusion with pacemaker wire reported as 'piercing' the right ventricular (RV) apex alongside early diastolic collapse of the right ventricle, suggesting echocardiographic tamponade. Chest CT revealed extension of the RV pacemaker lead into the pericardial fat. Interestingly, on comparison with a previous chest CT from 2019, similar lead positions were confirmed. Pericardiocentesis was performed with removal of 400 cc exudate. CONCLUSIONS Acute myopericarditis and pericardial effusion can occur in COVID-19 infection, even in the absence of severe pulmonary disease. This case highlights the importance of awareness of rare cardiac manifestations of COVID-19 in the form of acute myopericarditis and cardiac tamponade and their early diagnosis and management.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Betacoronavirus
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Cardiac Tamponade/et [Etiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Early Diagnosis
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Myocarditis/co [Complications]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Pericardial Effusion/et [Etiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Pericardiocentesis/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Pericarditis/co [Complications]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged, 80 and over
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cardiac Tamponade/di [Diagnosis]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cardiac Tamponade/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Echocardiography
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Myocarditis/di [Diagnosis]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pericardial Effusion/di [Diagnosis]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pericardial Effusion/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pericarditis/di [Diagnosis]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Ventricular Function, Left/ph [Physiology]
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute at MedStar Franklin Square Medical Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute at MedStar Union Memorial Hospital
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Medical Group
656 ## - INDEX TERM--OCCUPATION
Department Cardiology
656 ## - INDEX TERM--OCCUPATION
Department MedStar Health Baltimore Residents
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Brown, Jeffrey Jay
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kaliyadan, Antony George
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kanwal, Arjun
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Meininger, Glenn Robert
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Pandit, Anil
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Patel, Bhavin M
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Purohit, Richa
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Saini, Aditya
790 ## - Authors
All authors Brown JJ, Kaliyadan AG, Kanwal A, Meininger GR, Pandit A, Patel BM, Purohit R, Saini A
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.12659/AJCR.925554">https://dx.doi.org/10.12659/AJCR.925554</a>
Public note https://dx.doi.org/10.12659/AJCR.925554
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 08/26/2020   32606285 32606285 08/26/2020 08/26/2020 Journal Article

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